Individual provider Active NPI

James Allen Steverson Sr., LCSW

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1811662133
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013084 Issued in VA
Practice address
4000 Breezeport Way
Suffolk, VA 23435-3739
Phone
(175) 773-9026
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013084 VA Primary

Addresses

Primary practice location

4000 Breezeport Way
Suffolk, VA 23435-3739

Mailing address

4000 Breezeport Way
Suffolk, VA 23435-3739
Phone (757) 739-0269

Other identifiers 1

IdentifierTypeStateIssuer
0904013084OtherVALCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001440 VA Practitioner - Clinical Social Worker 9830589548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

800 Newtown Rd
Suite 104
Virginia Beach, VA 23462-1265
Phone (757) 974-1469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904013084VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center Clinical CurrentSince Dec 6, 2021 Accepting new patients

Locations

6603 Irongate Sq
North Chesterfield, VA 23234

800 Newtown Rd
Ste 104
Virginia Beach, VA 23462
Phone (757) 974-1469

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1811662133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BREEZEPORT WAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353739",
            "telephone_number": "757-739-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BREEZEPORT WAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353739",
            "telephone_number": "175-773-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVERSON",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "0904013084",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.